Clinical significance of daily work angina and its relation to unstable angina. 1983

M Murayama

The incidence of angina pectoris was studied in 247 patients having a long history of this disorder. Angina of effort (EA), angina at rest (RA) and daily work angina (DA) occurred in 91, 57 and 29% of these cases, respectively. Sixty-three percent of the cases had histories of more than 2 types of angina, EA, RA and DA. DA occurred in 39, 25 and 27% of the cases with new EA, new RA and changing pattern of unstable angina (UA), respectively, and it occurred coincidentally with the period of UA. Therefore, DA was considered as a pattern of UA. UA could not be classified well according to the precipitating factors or spontaneous occurrence and its classification according to a new occurrence or worsening condition is clinically useful for predicting a short-term prognosis. Ischemic ST changes seemed to be preceded by an increase of heart rate and blood pressure in micturition angina, although these increases were significantly lower than those in exercise-induced angina. Beta-blocking agents were ineffective but calcium antagonists were effective for micturition angina. Voiding is not essential for provoking angina, since strain alone could induce angina. Common pathophysiological status, such as coronary arterial spasm, may underlie all types of DA.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D012146 Rest Freedom from activity. Rests
D004562 Electrocardiography Recording of the moment-to-moment electromotive forces of the HEART as projected onto various sites on the body's surface, delineated as a scalar function of time. The recording is monitored by a tracing on slow moving chart paper or by observing it on a cardioscope, which is a CATHODE RAY TUBE DISPLAY. 12-Lead ECG,12-Lead EKG,12-Lead Electrocardiography,Cardiography,ECG,EKG,Electrocardiogram,Electrocardiograph,12 Lead ECG,12 Lead EKG,12 Lead Electrocardiography,12-Lead ECGs,12-Lead EKGs,12-Lead Electrocardiographies,Cardiographies,ECG, 12-Lead,EKG, 12-Lead,Electrocardiograms,Electrocardiographies, 12-Lead,Electrocardiographs,Electrocardiography, 12-Lead
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000203 Activities of Daily Living The performance of the basic activities of self care, such as dressing, ambulation, or eating. ADL,Chronic Limitation of Activity,Limitation of Activity, Chronic,Activities, Daily Living,Activity, Daily Living,Daily Living Activities,Daily Living Activity,Living Activities, Daily,Living Activity, Daily
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000787 Angina Pectoris The symptom of paroxysmal pain consequent to MYOCARDIAL ISCHEMIA usually of distinctive character, location and radiation. It is thought to be provoked by a transient stressful situation during which the oxygen requirements of the MYOCARDIUM exceed that supplied by the CORONARY CIRCULATION. Angor Pectoris,Stenocardia,Stenocardias

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